<!DOCTYPE html>
<html>
	<head>
		<meta charset="utf-8">
		<title></title>
	</head>
	<body>
		<table border="1" align="center" cellspacing="0" width="1200" height="1400">
			<tr align="center">
				<td colspan="3" width="200">单位名称</td>
				
				<td colspan="9"> </td>
				
			</tr>
			<tr align="center">
				<td colspan="3">地址</td>
				
				<td colspan="9"> </td>
				
			</tr>
			<tr align="center">
				<td colspan="3">登记类别</td>
				
				<td colspan="3"> </td>
				
				<td colspan="3">销防安全重点单位序码</td>
				
				<td colspan="3"> </td>
				
			</tr>
			<tr align="center">
				<td colspan="3">单位性质</td>
				
				<td colspan="3"> </td>
				
				<td colspan="3">上级主管部门</td>
				
				<td colspan="3"> </td>
				
			</tr>
			<tr align="center">
				<td colspan="3" height="70">消防安全责任人(法定代<br />表人或主要负责人)</td>
				
				<td width="100"> </td>
				<td rowspan="2" width="30">联<br />系<br />电<br />话</td>
				<td width="100"> </td>
				<td rowspan="2">归口管<br />理部门<br />负责人</td>
				<td colspan="2"> </td>
				<td rowspan="2">联<br />系<br />电<br />话</td>
				<td colspan="2"> </td>
				
			</tr>
			<tr align="center">
				<td colspan="3">消防安全管理人</td>
				
				<td> </td>
				
				<td> </td>
				
				<td colspan="2"> </td>
				
				
				<td colspan="2"> </td>
				
			</tr>
			<tr align="center">
				<td colspan="3">固定资产(万元)</td>
				
				<td colspan="3"></td>
				
				<td colspan="3" width="150">上年总产值(万元)</td>
				
				<td colspan="3"> </td>
				
			</tr>
			<tr align="center">
				<td colspan="3">古地面积(㎡)</td>
				
				<td colspan="3"> </td>
				
				<td colspan="3">建筑面机(㎡)</td>
				
				<td colspan="3"> </td>
				
			</tr>
			<tr align="center">
				<td width="60" height="50">建筑<br />结构</td>
				<td width="50"> </td>
				<td width="50">耐火<br />等级</td>
				<td width="30"> </td>
				<td width="90">楼层高度</td>
				<td> </td>
				<td>厂、库面税</td>
				<td> </td>
				<td>栋数</td>
				<td> </td>
				<td>单位所<br />在楼层</td>
				<td width="40"> </td>
			</tr>
			<tr align="center"  height="20">
				<td height="20">车间<br />数</td>
				<td height="20"> </td>
				<td>库房<br />数</td>
				<td> </td>
				<td>床位数（幼九<br />园浅旅社）</td>
				<td> </td>
				<td>礼堂容端<br />人数</td>
				<td> </td>
				<td>影刷院<br />座位</td>
				<td> </td>
				<td>危险品<br />东辆数</td>
				<td> </td>
			</tr>
			<tr align="center">
				<td colspan="3" rowspan="2">职工人数</td>
				
				<td colspan="2">正式</td>
				
				<td> </td>
				<td colspan="3">重点工种人数</td>
				
				<td colspan="3"> </td>
				
			</tr>
			<tr align="center">
				
				
				
				<td colspan="2">非正式</td>
				
				<td> </td>
				<td colspan="3">义务消防队(人数)</td>
				
				<td colspan="3"> </td>
				
			</tr>
			<tr align="center">
				<td rowspan="3" colspan="3">专职消防队</td>
				
				<td colspan="2">负责人</td>
				
				<td> </td>
				<td colspan="3" rowspan="3">主要灭火装备</td>
				
				<td colspan="3"> </td>
				
			</tr>
			<tr align="center">
				
				
				
				<td colspan="2">人数</td>
				
				<td> </td>
				
				
				
				<td colspan="3"> </td>
				
			</tr>
			<tr align="center">
				
				
				
				<td colspan="2">电话</td>
				
				<td> </td>
				
				
				
				<td colspan="3"> </td>
				
			</tr>
			<tr align="center">
				<td colspan="3">供电情况</td>
				
				<td colspan="2">电力负荷等饭</td>
				
				<td> </td>
				<td colspan="2">用电设备负荷(KT)</td>
				
				<td> </td>
				<td colspan="2">实际用电量(WT)</td>
				
				<td> </td>
			</tr>
			<tr align="center">
				<td rowspan="2" colspan="2" width="60">销防给水<br />情况</td>
				
				<td rowspan="2">消防水源</td>
				<td colspan="2">市政进水管数量及管径</td>
				
				<td> </td>
				<td rowspan="2">管网形式</td>
				<td>室内</td>
				<td> </td>
				<td rowspan="2" width="80">最不利<br />点消火<br />栓压力</td>
				<td width="60" height="60">室内</td>
				<td> </td>
			</tr>
			<tr align="center">
				
				
				<td colspan="2" height="50">天然消防木源数<br />及客量</td>
				
				<td> </td>
				
				<td height="40">室外</td>
				<td width="60"> </td>
				
				
				<td>室外</td>
				<td width="60"> </td>
			</tr>
			<tr align="center">
				<td colspan="3" height="50">消防安全重点邹位数量</td>
				
				<td colspan="9"> </td>
				
			</tr>
		</table>
	</body>
</html>